Hand therapists' attitudes, environmental supports, and self-efficacy regarding intimate partner violence in their practice

• Published in: Journal of hand therapy Vol. 32; no. 3; pp. 353 - 360
• Main Authors: Sivagurunathan, Marudan, Packham, Tara, Dimopoulos, Lindsay, Murray, Robyn, Madden, Kim, MacDermid, Joy C.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-07-2019; Elsevier Limited
• Subjects: Abuse; Adult; Aged; Aggression; Attitude of Health Personnel; Attitudes; Complications; Confidence; Cross-Sectional Studies; Demographic variables; Demographics; Domestic violence; Effectiveness; Female; Females; Gender; Hand; Hand injuries; Hand therapy; Health care; Humans; Injuries; Injury prevention; Intimate Partner Violence; Male; Males; Middle Aged; Occupational therapy; Patients; Physical Therapists; Physical therapy; Primary care; Professional Competence; Professional Role; Professionals; Questionnaires; Researchers; Safety; Self Efficacy; Sex crimes; Sex Factors; Sexual assault; Statistical analysis; Studies; Support systems; Surgeons; Surveys and Questionnaires; Therapists; Therapy; Trauma; Violence; Young Adult; Canada; United States > US; Domestic violence; Occupational therapy; Hand injuries; Hand therapy; Intimate partner violence; Physical therapy
• ISSN: 0894-1130; 1545-004X
• DOI: 10.1016/j.jht.2017.11.042

Descriptive, cross-sectional.
Intimate partner violence (IPV) may involve physical, psychological, or sexual abuse. Although hand injuries are reported as common sequelae of IPV, there is limited attention to this issue in hand therapy research reports or practice recommendations.
The primary aim is to describe the attitudes and beliefs of hand therapists (HTs) about IPV issues.
A sample of 189 HT completed a standardized survey investigating perceptions regarding issues pertaining to IPV. Areas addressed included self-efficacy (in dealing with IPV), perceived systemic support, victim blaming, professional role responsibility, and safety. Data were analyzed using descriptive statistics while between-group comparisons evaluating the impact of prior IPV experience and demographic variables of gender, country, certified hand therapy, and occupation on questionnaire scores used Mann-Whitney U analysis.
The majority of therapists (66%) had some prior experience with IPV. HTs reported neutral perceptions about self-efficacy (M = 2.9/5), client or personal safety (M = 3/5), and support systems available when addressing IPV in practice (M = 3/5). However, therapists considered intervening as part of their professional role (M = 3.8/5) and reported low levels of victim-blaming attitudes (M = 4.4/5). Those with firsthand IPV experience reported lower victim blaming (mdn = 4.9/5 vs 4.6/5, P = .02). Additionally, females were less likely to blame victims of IPV than males (mdn = 4.7/5 vs 4.3/5, P = .003).
Although Hand Therapists believe their professional role includes addressing IPV, confidence to deal with IPV, access/awareness of resources and perceived safety were substantive barriers.
Continuing research should identify effective tools to educate and assist therapists to identify and support victims of IPV in hand therapy.
•Hand therapists (HTs) reported neutral perceptions about self-efficacy client or personal and support systems available when addressing Intimate partner violence (IPV) in practice.•HTs considered intervening as part of their professional role.•HTs also showed low levels of victim blaming.•Those with firsthand IPV experience reported lower victim blaming.•Females were less likely to blame victims of IPV than males.